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* 1. Please fill in your information

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* 2. How old are you?

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* 3. What ethnicity are you?

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* 4. Are you active on social media?

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* 5. Which social media platform/s do you actively utilise on a daily basis?

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* 6. Would you be willing to post personal video reviews of VICHY LIFTACTIV SERUM 10 SUPREME to social media?

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* 7. Do you work in the beauty industry?

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* 8. If yes, please specify the type of work you do:

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* 9. If yes, would you be willing to recommend VICHY LIFTACTIV SERUM 10 SUPREME to and/or invite your beauty industry friends or co-workers to participate in this Product Review Club?
If so please share their email address(es) below:

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* 10. How often do you complete your basic skincare regime?

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* 11. How many different products form part of your daily skincare regime?

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* 12. Which three skincare products do you use regularly?

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* 13. Which skincare brands do you use regularly?

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* 14. Are you familiar with VICHY skin care?

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* 15. If YES, how did you first hear about VICHY?

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* 16. Have you used or are you currently using VICHY products?

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* 17. If you HAVE NOT used VICHY products before, please specify the reason/s why:

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* 18. If you HAVE used VICHY products before, please specify which ones:

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* 19. If you have used or are currently using a facial serum, please specify the brand you have used / are using:

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* 20. Which word/s best describe your complexion / skin type?

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* 21. What are your top three skincare concerns?

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* 22. Do you usually purchase skin care products yourself?

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* 23. On average, how much money do you spend on skin care products per month?

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* 24. Where do you purchase your skin care?

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* 25. Why do you feel you are an ideal candidate to participate in the VICHY Product Review Club? Provide three reasons below.

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* 26. USAGE RIGHTS DISCLAIMER:

If I am selected to participate in this Product Review Club I will allow Beauty Bulletin, VICHY and their advertising/marketing agencies full access to and full usage of all written, photographic or video material that I produce.

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